论文部分内容阅读
抽样调查全区 4种不经济地区 15 90 2名农村居民和县、乡、村三级医疗机构的门诊处方共 2 5 5 34份及住院病历 86 79份。结果发现 :医疗机构的门诊处方平均费用分别是村级 8.12元、乡村 14.11元、县级 17.92元。住院病人的次均住院费用乡卫生院为 130 .6 9元、县级医院为 5 72 .5 0元。据调查结果推算 1996年农村居民人均医疗费支出为71.75元 ,其中门诊医药费为 5 7.10元 ,占 79.5 8% ,住院医药费为 14.6 5元 ,占 2 0 .2 9%。医药费支出占人均纯收入的4.2 1%。由此 ,认为筹资水平以占人均纯收入的 1.5 %～ 2 %水平为宜 ,采取保大又保小的合作医疗模式比较理想。
A sample survey of 15 90 2 unqualified areas in the region, including 2 554 outpatient prescriptions for 2 rural residents and medical institutions at the county, township and village levels, and 86 79 inpatient medical records. Findings: The average outpatient expenses for medical institutions were 8.12 yuan for the village, 14.11 yuan for the village, and 17.92 yuan for the county. The average hospitalization cost for inpatients was 130.69 yuan for township health centers and 57.25 yuan for county-level hospitals. According to the survey results, the per capita medical expenditure of rural residents in 1996 was 71.75 yuan, of which outpatient medical expenses was 5 7.10 yuan, accounting for 79.58%, and hospital medical expenses was 14.65 yuan, accounting for 20.9%. Medical expenses accounted for 4.2 1% of per capita net income. As a result, it is considered that the level of funding is appropriate to account for 1.5% to 2% of the per capita net income, and it is desirable to adopt a cooperative medical model that maintains large scale and protects small ones.